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1194497669
ANN BOUMA
PORTLAND, OR
NPI
1194497669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-10-01
Last Update Date
2021-10-01
Business Address
ANN BOUMA
2901 E BURNSIDE ST
PORTLAND, OR 97214-1831
Phone number: 503-238-5203
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Mailing Address
ANN BOUMA
6424 NE GOING ST UNIT A
PORTLAND, OR 97218-3138
Phone number:
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